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51 Possible Causes for Atrial Septal Defect, P Pulmonale, Pulmonary Systolic Murmur

  • Eisenmenger Syndrome

    The atrial septal defect (ASD) is the most commonly diagnosed congenital defect in adults and has a prevalence of 7.5% of all congenital cardiac anomalies.[ncbi.nlm.nih.gov] ECG: almost always abnormal; shows features suggestive of right heart hypertrophy (with tall R wave in V1, deep S wave in V6, ST and T wave abnormalities, P pulmonale) as[patient.info] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[remedyland.com]

  • Large Ventricular Septal Defect

    Atrial Septal Defect Many babies who are born with atrial septal defects (ASDs) have no signs or symptoms.[pediatricct.surgery.ucsf.edu] […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[remedyland.com] , loudest at the fourth intercostal space, usually with a thrill, and a loud and widely split pulmonic component of S2 With fixed pulmonary hypertension, diastolic murmur[quizlet.com]

  • Pulmonary Valve Stenosis

    Abstract The familial association of pulmonary stenosis, atrial septal defect, and unique electrocardiographic abnormalities involving a mother and two children is reported[ncbi.nlm.nih.gov] Sixteen patients were asymptomatic with pulmonary systolic murmurs, although 6 patients presented with dyspnea.[ncbi.nlm.nih.gov] Pulmonary valve stenosis and atrial septal defect are common forms of congenital heart disease; however, their association is relatively rare.[ncbi.nlm.nih.gov]

  • Left to Right Cardiac Shunt

    septal defect (ASD), 45 with a ventricular septal defect (VSD), and 12 with a patent ductus arteriosus (PDA).[ncbi.nlm.nih.gov] Auscultatory findings Harsh h olosystolic murmur over the left lower sternal border ; typically louder in small defects Mid- diastolic murmur over cardiac apex Systolic thrill[amboss.com] Commonly encountered CHD with left-to-right shunt include atrial septal defect (ASD), ventricular septal defect (VSD), endocardial cushion defect (ECD) and patent ductus arteriosus[ncbi.nlm.nih.gov]

  • Atrial Septal Defect

    A sinus venosus ASD that involves the superior vena cava makes up 2 to 3% of all interatrial communication.[en.wikipedia.org] MurmursPulmonary ejection systolic murmur – Increased pulmonary flow • Tricuspid murmur – is heard over left sternal edge louder on inspiration • Graham-Steell murmur[slideshare.net] There is further turbulent flow into the pulmonary artery causing the systolic murmur.[easyauscultation.com]

  • Tetralogy of Fallot

    Abstract This report describes a rare case of Tetralogy of Fallot with associated left superior vena cava and coronary sinus atrial septal defect.[ncbi.nlm.nih.gov] Supporting criteria Right atrial enlargement (P pulmonale).[litfl.com] Single S2 - pulmonary valve closure not heard. Systolic ejection murmur - varies in intensity inversely with the degree of RVOT obstruction.[patient.info]

  • Right Atrial Hypertrophy

    This can be due to obstruction downstream, backwards flow across a leaking (“tricuspid”) valve, a defect in the wall between the Left and Right Atrium (an “Atrial-Septal Defect[cardiachealth.org] The P-wave amplitude is 2.5 mm in P pulmonale.[ecgwaves.com] In the absence of pulmonary hypertension, the murmur is usually low-intensity and early systolic.[patient.info]

  • Pulmonary Hypertension

    Abstract We present a case of sinus venosus atrial septal defect in a patient who was previously diagnosed as having primary pulmonary hypertension in a tertiary care center[ncbi.nlm.nih.gov] […] failure – increased JVP, (large V waves), parasternal heave, TR murmur, hepatomegaly, peripherial oedema other signs of CHF hypoxaemia INVESTIGATIONS Bedside ECG – RVH, RAD, p-pulmonale[lifeinthefastlane.com] Clinical signs include right ventricular (parasternal) heave, a loud pulmonary second heart sound, murmur of pulmonary regurgitation, systolic murmur of tricuspid regurgitation[patient.info]

  • Pulmonary Atresia

    A thorough examination revealed platypnea-orthodeoxia syndrome due to an interatrial right-to-left shunt through a secundum atrial septal defect.[ncbi.nlm.nih.gov] […] second heart sound Diagnostics Pulse oximetry : SpO2 Hyperoxia test : to distinguish cardiac from pulmonary causes of cyanosis ECG : right axis with right heart hypertrophy ; P[amboss.com] septal defect.[medical-dictionary.thefreedictionary.com]

  • Endocardial Cushion Defect

    Atrial septal defect (interatrial communication). In: Gatzoulis MA, Webb GD, Daubeney PEF, eds. Diagnosis and Management of Adult Congenital Heart Disease . 3rd ed.[mountsinai.org] A systolic murmur of a ventricular septal defect can be heard as well as the systolic murmur of mitral insufficiency.[chdbabies.com] […] hypertension; a grade 2 to 3/6 systolic murmur; and sometimes a diastolic murmur at the apex and low left sternal border (see table Heart Murmur Intensity ).[merckmanuals.com]

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